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General NPI Number Information
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NPI Number | 1467452821
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Entity Type | Individual
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Provider Name | RICHARD P SLOAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2005
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Last Update Date | 02/09/2016
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Provider Practice Location Address
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Address Line | 350 W COLUMBIA ST SUITE 440
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City | EVANSVILLE
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State | IN
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Zip | 47710-1782
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Country | US
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Telephone | 812-602-5442
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Fax | 812-424-1254
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Provider Business Mailing Address
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Address Line | 1312 PROFESSIONAL BLVD SUITE 200
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City | EVANSVILLE
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State | IN
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Zip | 47714-8007
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Country | US
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Telephone | 812-491-6419
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Fax | 812-491-6465
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 1042836
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License Number State | IN
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